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General NPI Number Information
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NPI Number | 1093995201
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Entity Type | Organization
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Legal Business Name | WEST PENN ALLEGHENY HEALTH SYSTEM INC.
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 100 MEDICAL BLVD
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City | CANONSBURG
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State | PA
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Zip | 15317-9762
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Country | US
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Telephone | 724-942-5493
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Fax | 724-942-5496
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Provider Business Mailing Address
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Address Line | 100 MEDICAL BLVD
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City | CANONSBURG
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State | PA
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Zip | 15317-9762
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Country | US
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Telephone | 724-942-5493
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Fax | 724-942-5496
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Authorized Official
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Title or Position | MANAGED CARE SPECIALIST
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Name | DENISE CRAVENER
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Credential |
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Telephone | 412-330-4938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD065330L
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License Number State | PA
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